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25 | Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 3/22/23 at 9:15am to conduct a Required - 1 Year inspection visit. LPA met with Judith Lanuza, Caregiver and explained the purpose of the visit. Caregiver contacted Administrator regarding todays visit. Hospice approved for 2 residents. There are 1 residents receiving hospice services during this visit. Licensing fees are current.
The facility is licensed for a capacity of 6 residents. LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed residents during this visit. LPA observed 2-day perishables and 7-day non-perishables.
The temperature inside the facility was observed to be at 75*F which is within the required range of 68-85*F. The hot water temperature was measured at 115.4*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, pull alarm system, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide.
Upon a file review the following items were discussed to be submitted with any changes annually:
Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), current Liability Insurance, Personnel Report (LIC500), Current Control of Property, Administrator Certificate-Updated
Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview held, copy of report given |